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NPI Code Detail

MEDICARE: DR. MARK MILLER PHARMD

MEDICARE: DR. MARK MILLER PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist26022639AIN

General Provider Information

NPI Number : 1982537684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK MILLER PHARMD
Provider Business Mailing Address
First Line : 2523 W COTTONWOOD RD
Second Line :
City : MORGANTOWN
State : IN
Zip : 46160-9044
Country : US
Telephone Number : 330-546-3722
Fax Number :
Provider Business Practice Location Address
First Line : 11020 PENDLETON PIKE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46236-2817
Country : US
Telephone Number : 317-826-3903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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